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Information on Episiotomy during delivery - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Birth
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Is episiotomy during delivery compulsory? isn't there any other solution?
Doctor :   hello
User :   hello dr
Doctor :   may i know your age please
User :   I'm 20
Doctor :   well there are indications why a episiotomy is done
User :   I had seen my cousin having a baby and saw her having a cut in her vagina during her delivery... I saw her in tears and I just lost my senses at that am.. am royally scared now I'm just too tensed imagining that situation happening to me... isn't there any other way out? is that sick thing necessary?
Doctor :   its not compulsory
Doctor :   Episiotomies are done in the following cases
Doctor :   1) Speed up the birth
Doctor :   2) Prevent Tearing
Doctor :   3) Protects against incontinence
Doctor :   4) Protects against pelvic floor relaxation
Doctor :   5) Heals easier than tears
Doctor :   sometimes the labor is delayed and the baby can be in distress
Doctor :   so thats why we do it
User :   but can't the delivery take place without Episiotomy?
Doctor :   also at times the child may be large and the vaginal canal is small
Doctor :   well MAJORITY are dont WITHOUT episiotomy
Doctor :   its only in cases mentioned above its done
User :   isn't there any other way out?
Doctor :   child birth itself is painful
Doctor :   dont worry
Doctor :   many women get anxiety when they see it
Doctor :   but it also depends on the pain thresh hold of the women
Doctor :   You can resume normal activities shortly after the birth. The stitches are absorbed by the body and do not need to be removed. You can relieve pain and discomfort with medication and ice in the first 24 hours, followed by warm baths.
User :   I have no problem with child birth.. I have planned out my life with my fiance.. just that cutting part gets me terrible pain... and I don't have the ability to bear such a disaster happening to me!!
Doctor :   well dont worry
Doctor :   like i said its NOT COMPULSORY
User :   I read at many places that there can be a negotiation with the Dr and it can be avoided right?
Doctor :   and its done only for the benefit of the child and mother
Doctor :   so such things dont happen
Doctor :   if the baby is stuck and in distress IT WILL BE DONE
User :   don't know I read it in some articles ..
Doctor :   the welbeing of the baby and mother is more important
Doctor :   and not the pain
Doctor :   you have been misguided
Doctor :   dont worry
User :   doesn't it pain and hurt? like u just take scissor and cut it like u cut a paper and then stitch it like u stitch clothes? and just tooo scared right now
User :   I don't know how to handle all this
Doctor :   thay can give a anesthetic
Doctor :   you should not worry
User :   so the pain doesn't feel at all?
Doctor :   An episiotomy may be needed if the baby's head or shoulders are too big for the mother's vaginal opening, or the baby is in a breech position (feet or buttocks coming first) and there is a problem during delivery.
Doctor :   It may also be needed to speed the delivery process if there is concern about the baby's heart rate.
User :   when does the baby go in distress?
Doctor :   it can
Doctor :   if the labor is delayed
Doctor :   like i said ITS NOT COMPULSORY
Doctor :   by reading google to guide you
Doctor :   episiotomy is done NOT as frequent
User :   bye .. thanks again
Doctor :   bye bye
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